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Using B12 Supplementation to Improve Quality of Life in Dogs Some dogs entering shelters are emaciated as a result of chronic malnutrition

Similarly, if you use proton pump inhibitors or H2 receptor antagonists for acid reflux or peptic ulcers, your stomach acid levels may decrease, making it harder for your body to absorb B12 from your diet

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A 5 mg to 10 mg dose injected prior to exercise is standard for maximizing this metabolic adaptation

Basic laboratory evaluation is appropriate for patients with persistent or severe fatigue and should include complete blood count, comprehensive metabolic panel, thyroid-stimulating hormone, ferritin/iron studies, and vitamin B12 and vitamin D levels